| NPI | 1053679803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELVANESA A. MURPHY Chief Operations Officer 803-708-4532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SC 4585) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: SC 4585) |
| 251S00000X (Licence: SC 4585) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |